In this episode, we'll cover the history of transgender medicine, with a focus on the development of the main surgical procedures in gender reassignment surgery, including vaginoplasty, phalloplasty, and metoidioplasty. A number of trailblazing surgeons and patients will be covered, and there is even a suture tale about a strange Victorian practice of clitoridectomy. Listener beware: this episode contains some graphic descriptions of genital surgery.